Individual ProviderKelly Kay BoschPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6153PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Kay Bosch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1962912865Provider TypeIndividualFull NameBosch, Kelly KayGenderFemaleSole ProprietorNoEnumeration Date10/5/2017Last Updated5/11/2021Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6153FaxUnlisted FaxMailing LocationMailing Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6153FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2464North Dakota